Active NPI
Raymond W. Lee, M.D.
- Hematology & Oncology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G44983
- Practice address
- 200 Jose Figueres Ave
Ste 245
San Jose, CA 95116-1588 - Phone
- (408) 923-3388
- NPI assigned
- Jun 24, 2005
- Reactivated
- Jun 27, 2006
- Last updated
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G44983 | CA | Primary |
Addresses
Primary practice location
200 Jose Figueres Ave
Ste 245
San Jose, CA 95116-1588
Mailing address
200 Jose Figueres Ave
Ste 245
San Jose, CA 95116-1588
Phone (408) 923-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, San Francisco School of Medicine, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Jose Figueres Ave
Suite 245
San Jose, CA 95116-1599
Phone (408) 923-3388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44983 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Hematology Oncology Associates | Hematology & Oncology | Current | Accepting new patients |
| County of Santa Clara | Past | Accepting new patients |
Locations
200 Jose Figueres Ave
Ste 245
San Jose, CA 95116
Phone (408) 923-3388
Interoperability endpoints
- rlee125802@santaclaravalley.direct-ci.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- San Jose, CA
- NPI 1558890038
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1053317818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE",
"address_2": "STE 245",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161588",
"telephone_number": "408-923-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE",
"address_2": "STE 245",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161588",
"telephone_number": "408-923-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RAYMOND",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-05-13",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G44983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.